healthcosts.net
In-111 oxyquinolin per 0.5 mci at UPMC Somerset
225 South Center Avenue, Somerset, PA · UPMC · · NPI 1912900168
$6,806.40
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
$11,344.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$536.56 with Highmark BCBS of PA vs $8,508.00 with Humana — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Highmark BCBS of PA | Medicare Advantage | $536.56 | ↓ -92% |
| Highmark BCBS of PA | Community Blue Medicare Advantage/Complete Blue Medicare Advantage/Together Blue Medicare Advantage | $764.91 | ↓ -89% |
| AmeriHealth Caritas | Medicare | $772.64 | ↓ -89% |
| UPMC Health Plan | Managed Medicare | $772.64 | ↓ -89% |
| United Healthcare | Medicare | $772.64 | ↓ -89% |
| UPMC Health Plan | EPO Partners/EPO Select Plan/HMO | $788.09 | ↓ -88% |
| Highmark Wholecare (prev Gateway) | Medicare | $834.37 | ↓ -88% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity/Managed Care - Social Mission | $1,145.90 | ↓ -83% |
| Highmark BCBS of PA | Commercial - Indemnity/Managed Care | $1,450.40 | ↓ -79% |
| UPMC Health Plan | Commercial | $1,792.08 | ↓ -74% |
| UPMC Health Plan | CHIP | $2,991.97 | ↓ -56% |
| Geisinger | Commercial | $4,467.27 | ↓ -34% |
| Aetna of PA | TPA/Carrier | $4,537.60 | ↓ -33% |
| Multiplan | PPO (Includes PHCS as a Payer) | $5,672.00 | ↓ -17% |
| Geisinger | Medicaid | $6,239.20 | ↓ -8% |
| Galaxy Health Plan | Commercial | $7,373.60 | ↑ +8% |
| Humana | Commercial | $8,508.00 | ↑ +25% |
| UPMC Work Partners | Workers Comp | not published by hospital | — |
Visitor-reported prices
Comments
In-111 oxyquinolin per 0.5 mci at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Mercy | Pittsburgh | $1,127.40 | $524.24 – $1,691.10 |
| UPMC Passavant-McCandless | Pittsburgh | $1,305.00 | $547.21 – $1,848.75 |
| UPMC Presbyterian | Pittsburgh | $10,690.80 | $547.21 – $15,145.30 |
| UPMC St. Margaret | Pittsburgh | $4,245.60 | $547.21 – $6,014.60 |
| UPMC Williamsport | Williamsport | $1,305.60 | $780.21 – $1,958.40 |